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NPI Code Detail

MEDICARE: MORRIS HEIGHTS HEALTH CENTER, INC.

MEDICARE: MORRIS HEIGHTS HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)7000236RNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184694291
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORRIS HEIGHTS HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 85 W BURNSIDE AVE
Second Line :
City : BRONX
State : NY
Zip : 10453-4015
Country : US
Telephone Number : 718-483-1270
Fax Number : 718-294-6912
Provider Business Practice Location Address
First Line : 85 W BURNSIDE AVE
Second Line :
City : BRONX
State : NY
Zip : 10453-4015
Country : US
Telephone Number : 718-716-4400
Fax Number :
Authorized Official
Title or Position : SR. MANAGER, REVENUE CYCLE
Name : LOURDES CLEMENTE
Credential :
Telephone Number : 718-716-4400
Provider Enumeration Date : 01/23/2006
Last Update Date : 12/13/2024

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Directions to “MORRIS HEIGHTS HEALTH CENTER, INC. ” Practice Location

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